- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,573.60 / $22,711.50 / $36,867.90
| Facility | | $15,573.60 | $22,711.50 | $36,867.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,760.18 / $29,760.18 / $47,008.64
| Facility | | $29,760.18 | $29,760.18 | $47,008.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,503.43 / $47,630.12 / $61,064.26
| Facility | | $33,503.43 | $47,630.12 | $61,064.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,287.07 / $35,356.33 / $44,434.08
| Facility | | $18,287.07 | $35,356.33 | $44,434.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,248.50 / $24,424.60 / $39,056.00
| Facility | | $16,248.50 | $24,424.60 | $39,056.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,002.39 / $32,494.32 / $49,368.31
| Facility | | $19,002.39 | $32,494.32 | $49,368.31 |